| Organization Name: | COMMUNITY LIVING ASSOCIATION |
| NPI Number: | 1144274564 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON JON HOGAN (FINANCE MANAGER) |
| Mailing Address: | 45 School St Houlton |
| State: | ME US |
| Postal Code: | 047302010 |
| Phone Number: | 2075329446 |
| Fax Number: | 2075321359 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 06/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320600000X |
| License Number: | 36310 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |