Individual provider · Type 1 NPI
Kimberly Iverne Rodriguez, CRMA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Patten, ME
Practice location
52 Gardiner Street
Patten, ME 04765
Mailing address
PO Box 226
Patten, ME 04765-0226
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Patten
About NPI 1386878346
Kimberly Iverne Rodriguez, CRMA's National Provider Identifier is 1386878346, issued on May 6, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Patten, ME. The record was last updated on May 6, 2009.