Organization
YOUTH ALTERNATIVES INGRAHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HAWLEY (FINANCIAL ANALYST)
(207) 523-5018
Entity
Organization
Contact information
Practice address
45 HEATH RD, SACO, ME 04072-9335
(207) 874-1175
(207) 874-1181
Mailing address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 874-1175
(207) 874-1181
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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