Organization
THERAPEUTIC RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERLOCK HAYLOCK (ADMINISTRATOR)
(207) 740-0543
Entity
Organization
Contact information
Practice address
218 BOLLING DR, BANGOR, ME 04401-2848
(207) 740-0543
Mailing address
135 LAKE VIEW DR, HARTFORD, ME 04220-5243
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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