Organization · Type 2 NPI
Dawn Ouellette
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eagle Lake, ME
Practice location
13 South Brook Lane
Eagle Lake, ME 04739
Fax (207) 444-4069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1184867590
Dawn Ouellette's National Provider Identifier is 1184867590, issued on Apr 15, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Eagle Lake, ME. The record was last updated on Apr 15, 2009.