Organization
NEW ENGLAND INTEGRATED LIVING SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL NYIRENDA (MANAGING DIRECTOR)
(207) 317-2844
Entity
Organization
Contact information
Practice address
228 SHERWOOD ST, 2, PORTLAND, ME 04103-5026
(207) 317-2844
Mailing address
228 SHERWOOD ST, 2, PORTLAND, ME 04103-5026
(207) 317-2844
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
ME
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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