Organization
SUMMIT ACHIEVEMENT OF STOW
Active
Other names
Summit Traverse
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ERNST (CEO, CLINICAL DIRECTOR)
(207) 697-2020
Entity
Organization
Contact information
Practice address
69 DEER HILL RD, STOW, ME 04037-3100
(207) 697-2020
(207) 697-2021
Mailing address
69 DEER HILL RD, STOW, ME 04037-3100
(207) 697-2020
(207) 697-2021
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
216716
ME
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
216716
ME
Other
Enumeration date
07/01/2008
Last updated
06/05/2024
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