Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ironwood Lake House

Organization Psychiatric Residential Treatment Facility · NPI 1821872797

Ironwood Lake House is a Psychiatric Residential Treatment Facility in South China, Maine. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

24 Pond Hill Rd
South China, ME 04358-5009
Phone: (310) 457-6302
Fax: (310) 457-6318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X

Record details

NPI number1821872797
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIronwood Maine
Authorized official Debora Garcia — Rcm Manager · (310) 457-6302
Other names Ironwood Lake House
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address12424 Wilshire Blvd Ste 800, Los Angeles, CA 90025-1035