Individual provider · Type 1 NPI
McKayla Diane Soucy, CRMA, DSP, CNA
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Van Buren, ME
Practice location
168 Main St
Van Buren, ME 04785-1238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
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.
About NPI 1982244570
McKayla Diane Soucy, CRMA, DSP, CNA's National Provider Identifier is 1982244570, issued on Jan 10, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Van Buren, ME. The record was last updated on Jan 10, 2020.