Provider Demographics
NPI:1083858302
Name:YORK-CUMBERLAND ASSN FOR HANDICAPPED PERSONS
Entity Type:Organization
Organization Name:YORK-CUMBERLAND ASSN FOR HANDICAPPED PERSONS
Other - Org Name:CREATIVE WORK SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-879-1140
Mailing Address - Street 1:90 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1840
Mailing Address - Country:US
Mailing Address - Phone:207-282-4173
Mailing Address - Fax:
Practice Address - Street 1:90 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1840
Practice Address - Country:US
Practice Address - Phone:207-282-4173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431723800Medicaid