Organization
SUMMIT ACHIEVEMENT OF STOW
Active
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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