Organization
COMPASS BRIDGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FALKENBERG (CHIEF FINANCIAL OFFICER)
(904) 703-2900
Entity
Organization
Contact information
Practice address
14 ARROWHEAD DR, BRUNSWICK, ME 04011-7420
(904) 703-2900
Mailing address
142 GRANT ST APT 6, PORTLAND, ME 04101-5222
(904) 703-2900
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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