Organization
DYNAMIC ALTERNATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOFI AMOAKOHENE (PRESIDENT & CEO)
(603) 365-9855
Entity
Organization
Contact information
Practice address
1328 MAIN ST STE 2, SANFORD, ME 04073-3651
(207) 289-8706
Mailing address
171 BROOK ST, SANFORD, ME 04073-2505
(603) 365-9855
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
05/04/2023
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