OrganizationActive
Fresh Start Maine LLC
NPI 1831785369 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lewiston, ME
Provider details
- NPI number
- 1831785369
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Abdikhadar Shire, Ceo(207) 469-8225
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
157 Main St Ste B
Lewiston, ME 04240-7007
Phone: (207) 469-8225
Approximate (ZIP-level) locationGet directions
Mailing address
157 Main St Ste B
Lewiston, ME 04240-7007
Registry dates
- Enumerated
- 2020-12-18
- Last updated
- 2020-12-18
- Certified
- 2020-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.