Organization
MOTIVATIONAL SERVICES INC
Active
Other names
Western Avenue Residence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M WEISS PHD (EXECUTIVE DIRECTOR)
(207) 626-3465
Entity
Organization
Contact information
Practice address
105 WESTERN AVE, WATERVILLE, ME 04901-5213
(207) 626-3465
(207) 626-3469
Mailing address
PO BOX 229, AUGUSTA, ME 04332-0229
(207) 626-3465
(207) 626-3469
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
231968
ME
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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