Organization
ST . ANDRE'S HOME, INC.
Active
Organization
ST . ANDRE'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER FITZPATRICK (EXECUTIVE DIRECTOR)
(207) 282-3351
Entity
Organization
Contact information
Practice address
283 ELM ST, BIDDEFORD, ME 04005-3027
(207) 282-3351
(207) 282-8733
Mailing address
283 ELM ST, BIDDEFORD, ME 04005-3027
(207) 282-3351
(207) 282-8733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
218677
ME
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
214603,429481,216796
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16823000
—
ME
01
—
168230100
OUTREACH COMMUNITY SERVICES
ME
Enumeration date
04/22/2009
Last updated
04/22/2009
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