Organization
NEW TIDES RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON D. MOORE (PROGRAM DIRECTOR)
(207) 409-6361
Entity
Organization
Contact information
Practice address
321 NORTH ST UNIT 2, SACO, ME 04072-1858
(207) 409-6361
Mailing address
321 NORTH ST UNIT 2, SACO, ME 04072-1858
(207) 409-6361
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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