OrganizationActive
Ironwood Maine
NPI 1770034415 · Emotionally Disturbed Childrens' Residential Treatment Facility · Morrill, ME
Provider details
- NPI number
- 1770034415
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nicole Thibodeau, Clinical Therapist(207) 342-3655
- License
- MC16161 (ME)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MC16161 (ME)
Residential Treatment Facilities
Practice location
67 Captain Cushman Rd
Morrill, ME 04952-5035
Phone: (207) 345-3655
Fax: (207) 342-3791
Approximate (ZIP-level) locationGet directions
Mailing address
67 Captain Cushman Rd
Morrill, ME 04952-5035
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2016-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.