IndividualActive
Constantin Jitaru
NPI 1194675876 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lewiston, ME
Provider details
- NPI number
- 1194675876
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
172 Warren Ave Unit 1
Lewiston, ME 04240-4836
Phone: (617) 863-0161
Approximate (ZIP-level) locationGet directions
Mailing address
770 Roosevelt Trl Ste 8
N Windham, ME 04062-5300
Additional practice locations (2)
- 172 Warren Ave Unit 2Lewiston, ME 04240-4836Phone: (617) 863-0161
- 770 Roosevelt Trl Ste 8N Windham, ME 04062-5300Phone: (207) 713-0263
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.