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General NPI Number Information
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NPI Number | 1174769822
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Entity Type | Organization
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Legal Business Name | 3RIVERS, INC.
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Dates
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Enumeration Date | 12/31/2008
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 15 SAUNDERS WAY SUITE 500G
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City | WESTBROOK
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State | ME
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Zip | 04092-4833
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Country | US
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Telephone | 207-523-5170
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Fax | 207-854-1787
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Provider Business Mailing Address
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Address Line | 15 SAUNDERS WAY SUITE 500G
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City | WESTBROOK
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State | ME
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Zip | 04092-4833
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Country | US
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Telephone | 207-523-5170
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Fax | 207-854-1787
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Authorized Official
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Title or Position | CEO
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Name | ANN-MARIE MAYBERRY
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Credential |
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Telephone | 207-523-5171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS2704
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS2699
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS2706
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS3093
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS3094
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License Number State | ME
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS3206
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License Number State | ME
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Taxonomy #7
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | ALLS3183
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License Number State | ME
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