Healthcare Provider Details

I. General information

NPI: 1376610311
Provider Name (Legal Business Name): NFI NORTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 SUMMIT AVE
BANGOR ME
04401-5631
US

IV. Provider business mailing address

PO BOX 417
CONTOOCOOK NH
03229-0417
US

V. Phone/Fax

Practice location:
  • Phone: 207-942-3799
  • Fax: 207-942-3879
Mailing address:
  • Phone: 603-746-7550
  • Fax: 603-746-7544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number212228
License Number StateME

VIII. Authorized Official

Name: DR. PAUL DANN
Title or Position: EXECUTIVE DIRECTOR
Credential: PH,D.
Phone: 603-746-7550