Organization
HOPE COMMUNITY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NONO MAPAYA MUKWAYANZO (CEO)
(207) 253-9625
Entity
Organization
Contact information
Practice address
19 AVALON RD, PORTLAND, ME 04103-1112
(207) 253-9625
Mailing address
40 SUNNYBROOK FARM RD, BRIDGTON, ME 04009-4516
(207) 253-9625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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