Ironwood

NPI 1023134202 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1023134202
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RODNEY RODNEY
Position PRESIDENT CEO
Phone (207) 342-3655
Fax
Practice Location
67 CAPTAIN CUSHMAN RD
MORRILL ME, 04952-5035, US
Phone (207) 342-3655
Fax
Business Location
67 CAPTAIN CUSHMAN RD
MORRILL ME, 04952-5035, US
Phone (207) 342-3655
Fax
Toxanomy
Taxonomy Code 323P00000X
License State
License Number
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According to our database, Ironwood NPI is 1023134202, taxonomy code is 323P00000X Ironwood physically located at 67 Captain Cushman Rd, Morrill ME, 04952-5035. NPI Number 1033115704 has the healthcare provider type.

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1023134202 NPI number is provided on an as is basis without warranty of any kind. 1023134202 is maintained by the National Plan & Provider Enumeration System. The contents of Ironwood are for informational purposes only.