Provider Demographics
NPI:1992871222
Name:NFI NORTH, INC
Entity type:Organization
Organization Name:NFI NORTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-746-7550
Mailing Address - Street 1:PO BOX 417
Mailing Address - Street 2:
Mailing Address - City:CONTOOCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03229-0417
Mailing Address - Country:US
Mailing Address - Phone:603-746-7550
Mailing Address - Fax:603-746-7544
Practice Address - Street 1:3895 W RIVER RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:ME
Practice Address - Zip Code:04330-2434
Practice Address - Country:US
Practice Address - Phone:207-547-4464
Practice Address - Fax:207-547-4686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME392171323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME152720006Medicaid
ME152720014Medicaid