Ronald Phillip Small

NPI #1194058313 in Corinth, Maine

Provider Information

NPI Number: 1194058313
Entity Type: Individual
Name: Ronald Phillip Small
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 8, 2009
Last Updated: Sep 8, 2009

Practice Location

Address: 316 MAIN ST
City: Corinth
State: Maine
ZIP Code: 04427-3031
Phone: (207) 285-3281

Specialties & Taxonomy Codes

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

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