Organization · Type 2 NPI
Pine Peak Care LLC
Mental Illness Community Based Residential Treatment Facility · Portland, ME
NPI number
1467097709
Active
Practice location
1395 Congress St
Portland, ME 04102-2120
Mailing address
13 Sara Ln
Portland, ME 04103-3622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1467097709
Pine Peak Care LLC's National Provider Identifier is 1467097709, issued on Nov 11, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, ME. The record was last updated on Nov 11, 2019.