Organization
PEACE HOUSE MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THIERRY NDABAHAGAMYE DSP (CEO)
(207) 409-5015
Entity
Organization
Contact information
Practice address
6 WOODLAND RD, RAYMOND, ME 04071-6368
(207) 409-5015
Mailing address
6 WOODLAND RD, RAYMOND, ME 04071-6368
(207) 409-5015
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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