OrganizationActive
Shalom House, Inc.
NPI 1992702955 · Mental Illness Community Based Residential Treatment Facility · Portland, ME
Provider details
- NPI number
- 1992702955
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Haynes-Rodgers, Executive Director(207) 874-1080
- License
- 229743 (ME)
Specialties & taxonomies
Residential Treatment Facilities
Agencies
Practice location
106 Gilman St
Portland, ME 04102-3034
Phone: (207) 874-1080
Fax: (207) 874-1077
Approximate (ZIP-level) locationGet directions
Mailing address
106 Gilman St
Portland, ME 04102-3034
Registry dates
- Enumerated
- 2005-07-06
- Last updated
- 2009-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.