Organization · Type 2 NPI

Shalom House, Inc.

Mental Illness Community Based Residential Treatment Facility · Portland, ME

NPI number 1992702955 Active

Practice location

106 Gilman St
Portland, ME 04102-3034

Fax (207) 874-1077

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000X229743 (ME)
Mental Illness Community Based Residential Treatment Facility Primary 320800000X229743 (ME)

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 1992702955

Shalom House, Inc.'s National Provider Identifier is 1992702955, issued on Jul 6, 2005. 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 Jan 23, 2009.