Healthcare Provider Details
I. General information
NPI: 1174699169
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
360 LONG PLAINS RD
BUXTON ME
04093-0346
US
IV. Provider business mailing address
PO BOX 417
CONTOOCOOK NH
03229-0417
US
V. Phone/Fax
- Phone: 207-727-5900
- Fax: 207-727-5801
- Phone: 603-746-7550
- Fax: 603-746-7544
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | 409600 |
| License Number State | ME |
VIII. Authorized Official
Name: DR.
PAUL
DANN
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 603-746-7550