IndividualActive
David Armistead
NPI 1093677866 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bangor, ME
Provider details
- NPI number
- 1093677866
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1647 Broadway
Bangor, ME 04401-2406
Phone: (207) 378-1292
Approximate (ZIP-level) locationGet directions
Mailing address
1647 Broadway
Bangor, ME 04401-2406
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-01
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.