Individual provider · Type 1 NPI
Anne M. Bourque
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · West Gardiner, ME
Practice location
22 Ledge Hill Way
West Gardiner, ME 04345-3135
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 1487987558
Anne M. Bourque's National Provider Identifier is 1487987558, 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 West Gardiner, ME. The record was last updated on Sep 8, 2009.