CAMP KETCHA NPI 1821401076

NPI Details

CAMP KETCHA is a community behavioral health in Scarborough, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CAMP KETCHA NPI is 1821401076. The provider is registered as an organization entity type.

The provider's business location address is:

336 BLACK POINT RD
SCARBOROUGH, ME
ZIP 04074-676
Phone: (207) 883-8977
Fax: (207) 885-0944

The provider's authorized official is Thomas Doherty .
The authorized official title is Executive Director and has the following contact phone number (207) 883-8977.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 6/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: