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Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD BROWN (ADMINISTRATOR)
(207) 437-2313
Entity
Organization

Contact information

Practice address
182 ABBOTT RD, ALBION, ME 04910-6733
(207) 437-2313
Mailing address
182 ABBOTT RD, ALBION, ME 04910-6733
(207) 437-2313

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
35470
ME

Other

Enumeration date
12/14/2009
Last updated
12/14/2009
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