Individual provider · Type 1 NPI

Linda Arline Gordon, DSP

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Belfast, ME

NPI number 1629197835 Active

Practice location

108 Union Street
Belfast, ME 04915-6731

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XALLS1520 (ME)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1629197835

Linda Arline Gordon, DSP's National Provider Identifier is 1629197835, issued on Mar 28, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Belfast, ME. The record was last updated on Jul 8, 2007.