Organization
PERSONAL SERVICES OF AROOSTOOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW ALANSCEN DUPREY (EXECUTIVE DIRECTOR)
(207) 764-3766
Entity
Organization
Contact information
Practice address
480 MAIN STREET, SUITE 402, PRESQUE ISLE, ME 04769
(207) 764-3766
(207) 764-3359
Mailing address
480 MAIN ST STE 402, PRESQUE ISLE, ME 04769-2345
(207) 764-3766
(207) 764-3359
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165380100
MAINE CARE
—
01
—
165380200
MAINE CARE
—
01
—
165380201
MAINE CARE
—
Enumeration date
02/22/2007
Last updated
10/08/2009
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