NPI | 1992871222 |
---|---|
Doing Business As | SIDNEY RIVERBEND |
Entity Type | Organization |
Authorized Contact | PAUL DANN Executive Director 603-746-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: ME 392171) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2012-03-21 |