Individual provider · Type 1 NPI
Ronald Phillip Small
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Corinth, ME
Practice location
316 Main St
Corinth, ME 04427-3031
Mailing address
PO Box 129
Corinth, ME 04427-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | ALLS3410 (ME) |
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 1194058313
Ronald Phillip Small's National Provider Identifier is 1194058313, issued on Sep 8, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Corinth, ME. The record was last updated on Sep 8, 2009.