Organization
IRONWOOD MAINE
Active
Organization
IRONWOOD MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MARK MONROE (CFO)
(951) 334-2233
Entity
Organization
Contact information
Practice address
67 CAPTAIN CUSHMAN ROAD, MORRILL, ME 04952-5035
(207) 342-3655
(207) 342-3731
Mailing address
12424 WILSHIRE BLVD SUITE 800, LOS ANGELES, CA 90025
(310) 457-6302
(310) 457-6318
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
631916
ME
Other
Enumeration date
01/03/2013
Last updated
05/25/2023
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