Provider Demographics
NPI:1275774804
Name:COMMUNITY REHABILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY REHABILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-582-5577
Mailing Address - Street 1:484 MAINE AVE
Mailing Address - Street 2:STE. 1A
Mailing Address - City:FARMINGDALE
Mailing Address - State:ME
Mailing Address - Zip Code:04344-2903
Mailing Address - Country:US
Mailing Address - Phone:207-582-5577
Mailing Address - Fax:207-582-3208
Practice Address - Street 1:484 MAINE AVE
Practice Address - Street 2:STE. 1A
Practice Address - City:FARMINGDALE
Practice Address - State:ME
Practice Address - Zip Code:04344-2903
Practice Address - Country:US
Practice Address - Phone:207-582-5577
Practice Address - Fax:207-582-3208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services