Organization
IRONWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WES HORTON (ONWER,CFO)
(207) 342-3655
Entity
Organization
Contact information
Practice address
67 CAPTAIN CUSHMAN RD, MORRILL, ME 04952-5035
(207) 342-3655
Mailing address
67 CAPTAIN CUSHMAN RD, MORRILL, ME 04952-5035
(207) 342-3655
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
631916
ME
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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