Individual provider · Type 1 NPI
Theresa S. Soohey
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Whitefield, ME
Practice location
25 Oxbow Lane
Whitefield, ME 04353
Fax (888) 253-6401
Mailing address
PO Box 60
Whitefield, ME 04353-0060
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 1568697399
Theresa S. Soohey's National Provider Identifier is 1568697399, issued on May 22, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Whitefield, ME. The record was last updated on May 22, 2009.