Organization Name: | PATHWAYS OF MAINE, INC. |
NPI Number: | 1568500585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLE T ZENGA (DIRECTOR OF OPERATIONS) |
Mailing Address: | 16 Burbank Ave Brunswick |
State: | ME US |
Postal Code: | 040112878 |
Phone Number: | 2073730620 |
Fax Number: | 2073730628 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 392123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |