Organization
WILLIAM MIRO,
Active
Other names
PCS FAMILY HOMES,
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM VINCENT MIRO (DIRECTOR OF SERVICES)
(207) 883-2611
Entity
Organization
Contact information
Practice address
636 US ROUTE 1, SCARBOROUGH, ME 04074-9700
(207) 883-2611
(207) 883-2611
Mailing address
31 OLD BLUE POINT RD, SCARBOROUGH, ME 04074-9608
(207) 883-2611
(207) 883-8611
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320600000X
ME
Other
Enumeration date
01/15/2009
Last updated
08/28/2009
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