Provider Demographics
NPI:1013080407
Name:ALTERNATIVE SERVICES-NE.INC.
Entity type:Organization
Organization Name:ALTERNATIVE SERVICES-NE.INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:207-777-1107
Mailing Address - Street 1:140 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7777
Mailing Address - Country:US
Mailing Address - Phone:207-777-1107
Mailing Address - Fax:207-777-1605
Practice Address - Street 1:140 CANAL ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7777
Practice Address - Country:US
Practice Address - Phone:207-777-1107
Practice Address - Fax:207-777-1605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME219501320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness