Organization
LEAP GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILLS GIDEON (EXECUTIVE DIRECTOR)
(207) 521-4498
Entity
Organization
Contact information
Practice address
138 PLYMOUTH ST, PORTLAND, ME 04103-2077
(207) 521-4498
Mailing address
138 PLYMOUTH ST, PORTLAND, ME 04103-2077
(207) 521-4498
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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