Organization
ASCENTRIA COMMUNITY SERVICES, INC
Active
Other names
Lutheran Community Services of Maine, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA BOVILL (CEO AND PRESIDENT)
(774) 243-3900
Entity
Organization
Contact information
Practice address
261 SHEEP DAVIS ROAD, SUITE A-1, CONCORD, NH 03301
(603) 224-8111
(603) 224-0798
Mailing address
261 SHEEP DAVIS ROAD, SUITE A-1, CONCORD, NH 03301
(603) 224-8111
(603) 224-0798
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
ME
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
ME
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135130000
—
ME
05
—
135130001
—
ME
05
—
135130100
—
ME
05
—
431742300
—
ME
Enumeration date
12/18/2008
Last updated
10/07/2014
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