Individual provider · Type 1 NPI
Amanda Elizabeth Douglass, DSP, CRMA
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fairfield, ME
Practice location
131 Oakland Rd
Fairfield, ME 04937-3229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1093214264
Amanda Elizabeth Douglass, DSP, CRMA's National Provider Identifier is 1093214264, issued on Feb 2, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fairfield, ME. The record was last updated on Feb 2, 2018.