Ironwood

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

631916 Issued in ME

Legal business name

IRONWOOD

Practice address

67 Captain Cushman Rd
Morrill, ME 04952-5035

Phone

(207) 342-3655

NPI assigned

Feb 21, 2013

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wes Horton

Title

Onwer,Cfo

Phone

(207) 342-3655

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1184964512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CAPTAIN CUSHMAN RD",
            "city": "MORRILL",
            "state": "ME",
            "postal_code": "049525035",
            "telephone_number": "207-342-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CAPTAIN CUSHMAN RD",
            "city": "MORRILL",
            "state": "ME",
            "postal_code": "049525035",
            "telephone_number": "207-342-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "ONWER,CFO",
        "authorized_official_telephone_number": "207-342-3655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "ME",
            "license": "631916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironwood
• Ironwood Maine
• Ironwood Maine
• Kathryn Lahaye Deetjen, M.A. CCC-SLP
• Kimberly N Loper, LCSW
• Michael C Lovely

• Mental Illness Community Based Residential Treatment Facility in Morrill, ME
• Providers in Morrill, ME by specialty
• Mental Illness Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.