Provider Demographics
NPI:1215066287
Name:AFFINITY
Entity type:Organization
Organization Name:AFFINITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAIMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-747-1651
Mailing Address - Street 1:400 RIVERSIDE ST
Mailing Address - Street 2:UNIT A4
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-1068
Mailing Address - Country:US
Mailing Address - Phone:207-747-1651
Mailing Address - Fax:207-747-4745
Practice Address - Street 1:400 RIVERSIDE ST
Practice Address - Street 2:UNIT A4
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-1068
Practice Address - Country:US
Practice Address - Phone:207-747-1651
Practice Address - Fax:207-747-4745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services