Dawn Ouellette

NPI #1184867590 in Eagle Lake, Maine

Provider Information

NPI Number
1184867590
Entity Type
Organization
Organization Name
Dawn Ouellette
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Apr 15, 2009
Last Updated
Apr 15, 2009

Practice Location

Address
13 SOUTH BROOK LANE
State
Maine
ZIP Code
04739
Phone
(207) 444-4562

Authorized Official

Name
DAWN M OUELLETTE
Title
HOME PROVIDER
Phone
(207) 444-4562

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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