Provider Demographics
NPI:1093881369
Name:NFI NORTH, INC
Entity Type:Organization
Organization Name:NFI NORTH, INC
Other - Org Name:DIRIGO PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-746-7550
Mailing Address - Street 1:PO BOX 417
Mailing Address - Street 2:
Mailing Address - City:CONTOOCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03229-0417
Mailing Address - Country:US
Mailing Address - Phone:603-746-7550
Mailing Address - Fax:603-746-7544
Practice Address - Street 1:98 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6004
Practice Address - Country:US
Practice Address - Phone:207-784-7144
Practice Address - Fax:207-784-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME212965322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME152720010Medicaid
ME152720000Medicaid