Organization
AFFINITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHAIMOWITZ (EXECUTIVE DIRECTOR)
(207) 747-1651
Entity
Organization
Contact information
Practice address
400 RIVERSIDE ST, UNIT A4, PORTLAND, ME 04103-1068
(207) 747-1651
(207) 747-4745
Mailing address
400 RIVERSIDE ST, UNIT A4, PORTLAND, ME 04103-1068
(207) 747-1651
(207) 747-4745
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0
ME
Other
Enumeration date
03/05/2007
Last updated
07/21/2022
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