Organization Name: | TRI-COUNTY MENTAL HEALTH SERVICES |
NPI Number: | 1013243211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER COPELAND (EXECUTIVE DIRECTOR) |
Mailing Address: | 1155 Lisbon St Lewiston |
State: | ME US |
Postal Code: | 042405025 |
Phone Number: | 2077839141 |
Fax Number: | 2077834679 |
NPI Enumeration Date: | 10/22/2009 |
NPI Last Update Date: | 10/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 230341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |