Provider Demographics
NPI:1629211941
Name:NORTHERN AROOSTOOK ALT. INC.
Entity Type:Organization
Organization Name:NORTHERN AROOSTOOK ALT. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CYR
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:207-868-5023
Mailing Address - Street 1:267 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:ME
Mailing Address - Zip Code:04785-1336
Mailing Address - Country:US
Mailing Address - Phone:207-868-5023
Mailing Address - Fax:207-868-2765
Practice Address - Street 1:267 MAIN ST
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:ME
Practice Address - Zip Code:04785-1336
Practice Address - Country:US
Practice Address - Phone:207-868-5023
Practice Address - Fax:207-868-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services