Organization
NEW VESSEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE MUNYAKURI NZABIRINDA (PROGRAM MANAGER)
(207) 409-0696
Entity
Organization
Contact information
Practice address
13 EMERSON ST APT 104, PORTLAND, ME 04101-3263
(207) 409-0696
Mailing address
13 EMERSON ST APT 104, PORTLAND, ME 04101-3263
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/14/2023
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