Organization
CRYSTAL CARE SERVICES LLC
Active
Other names
Crystal Care Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAMY GISELE UWIMANA SR. (CEO)
(682) 521-4233
Entity
Organization
Contact information
Practice address
577 US ROUTE 1 UNIT B202, SCARBOROUGH, ME 04074-1312
(682) 521-4233
Mailing address
577 US ROUTE 1 UNIT B202, SCARBOROUGH, ME 04074-1312
(682) 521-4233
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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