Organization · Type 2 NPI

Bernadette Fortin

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Van Buren, ME

NPI number 1184852022 Active

Practice location

144 High St
Van Buren, ME 04785

Call (207) 868-9853 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1184852022

Bernadette Fortin's National Provider Identifier is 1184852022, issued on Jun 30, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Van Buren, ME. The record was last updated on Jun 30, 2009.