Organization
ALTERNATIVE RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRISON KELVIN DEAH JR. (CEO)
(207) 321-8600
Entity
Organization
Contact information
Practice address
14 JOES RD, WINDHAM, ME 04062-4515
(207) 321-8600
Mailing address
14 JOES RD, WINDHAM, ME 04062-4515
(207) 321-8600
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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