Provider Demographics
NPI:1962735936
Name:C&M CONSULTING AND MANAGEMENT
Entity type:Organization
Organization Name:C&M CONSULTING AND MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DANE
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-582-0877
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-0006
Mailing Address - Country:US
Mailing Address - Phone:207-582-0877
Mailing Address - Fax:
Practice Address - Street 1:81 OLD BRUNSWICK RD
Practice Address - Street 2:
Practice Address - City:GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-6035
Practice Address - Country:US
Practice Address - Phone:207-582-0877
Practice Address - Fax:207-582-6772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities