Crystal Care Services LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Scarborough, ME
NPI 1780366203 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1780366203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- CRYSTAL CARE SERVICES LLC
- Practice address
- 577 US Route 1 Unit B202
Scarborough, ME 04074-1312 - Phone
- (682) 521-4233
- NPI assigned
- Aug 3, 2023
- Organization subpart
- No
Authorized official
- Name
- Ms. Mamy Gisele Uwimana Sr.
- Title
- Ceo
- Phone
- (682) 521-4233
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
577 US Route 1 Unit B202
Scarborough, ME 04074-1312
Mailing address
577 US Route 1 Unit B202
Scarborough, ME 04074-1312
Phone (682) 521-4233
Other names
- Crystal Care Services LLC
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All providers in Scarborough, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.