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Organization

FAMILIES AND CHILDREN TOGETHER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY DANIELS (EXECUTIVE DIRECTOR)
(207) 941-2347
Entity
Organization

Contact information

Practice address
304 HANCOCK ST, SUITE 2B, BANGOR, ME 04401-6573
(207) 941-2347
(207) 941-9938
Mailing address
304 HANCOCK ST, SUITE 2B, BANGOR, ME 04401-6573
(207) 941-2347
(207) 941-9938

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126060000
ME
05
432626000
ME
Enumeration date
05/22/2009
Last updated
05/22/2009
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