Bernadette Fortin

NPI #1184852022 in Van Buren, Maine

Provider Information

NPI Number: 1184852022
Entity Type: Organization
Organization Name: Bernadette Fortin
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 30, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 144 HIGH ST
City: Van Buren
State: Maine
ZIP Code: 04785
Phone: (207) 868-9853

Authorized Official

Name: BERNADETTE M FORTIN
Title: OWNER
Phone: (207) 868-9853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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