Provider Demographics
NPI:1821143397
Name:KATAHDIN FRIENDS, INC.
Entity Type:Organization
Organization Name:KATAHDIN FRIENDS, INC.
Other - Org Name:KFI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-723-9466
Mailing Address - Street 1:1024 CENTRAL ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILLINOCKET
Mailing Address - State:ME
Mailing Address - Zip Code:04462-2111
Mailing Address - Country:US
Mailing Address - Phone:207-723-9466
Mailing Address - Fax:207-723-5099
Practice Address - Street 1:1024 CENTRAL ST
Practice Address - Street 2:SUITE A
Practice Address - City:MILLINOCKET
Practice Address - State:ME
Practice Address - Zip Code:04462-2111
Practice Address - Country:US
Practice Address - Phone:207-723-9466
Practice Address - Fax:207-723-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health