Organization
FAMILYSUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE I. SLATEE (DIRECTOR)
(207) 379-2809
Entity
Organization
Contact information
Practice address
976 GREENBUSH RD, EXETER, ME 04435-3316
(207) 379-2809
Mailing address
976 GREENBUSH RD, EXETER, ME 04435-3316
(207) 379-2809
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
NOT LICENSED
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197010000
—
ME
Enumeration date
06/10/2009
Last updated
06/10/2009
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