Organization · Type 2 NPI

William Miro,

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Scarborough, ME

NPI number 1710124599 Active

Practice location

636 US Route 1
Scarborough, ME 04074-9700

Fax (207) 883-2611

Mailing address

31 Old Blue Point Rd
Scarborough, ME 04074-9608

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X320600000X (ME)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2 other providers at this address

About NPI 1710124599

William Miro,'s National Provider Identifier is 1710124599, issued on Jan 15, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Scarborough, ME. The record was last updated on Aug 28, 2009.