Individual provider · Type 1 NPI

Terry Rich Bowen

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

NPI number 1740404722 Active

Practice location

13 Parkside Lane
Belfast, ME 04915

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XALLS2056 (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 1740404722

Terry Rich Bowen's National Provider Identifier is 1740404722, issued on Apr 12, 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.