Organization
NORTHERN MAINE GENERAL
Active
Organization
NORTHERN MAINE GENERAL
Active
Other names
Franciscan Home
Organization subpart
No
Provider details
NPI number
Authorized official
REYNOLD RAYMOND (CHIEF EXECUTIVE OFFICER)
(207) 444-5152
Entity
Organization
Contact information
Practice address
3400 AROOSTOOK RD, EAGLE LAKE, ME 04739-0310
(207) 444-5152
(207) 444-6099
Mailing address
PO BOX 310, EAGLE LAKE, ME 04739-0310
(207) 444-5152
(207) 444-6099
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
439379
ME
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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