Organization
DIPLA SUPPORT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVA WILSON (CHIEF EXECUTIVE OFFICER)
(857) 500-9438
Entity
Organization
Contact information
Practice address
316 WEBSTER ST, LEWISTON, ME 04240-4854
(857) 500-9438
Mailing address
316 WEBSTER ST, LEWISTON, ME 04240-4854
(857) 500-9438
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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