Individual provider · Type 1 NPI
Susan Lee Harriman
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Levant, ME
Practice location
371 Stetson Road West
Levant, ME 04456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 3001870 (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 1508079039
Susan Lee Harriman's National Provider Identifier is 1508079039, issued on May 8, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Levant, ME. The record was last updated on Jul 8, 2007.