Independence Association, INC

NPI #1386795136 in Brunswick, Maine

Provider Information

NPI Number: 1386795136
Entity Type: Organization
Organization Name: Independence Association, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 87 BARIBEAU DR
City: Brunswick
State: Maine
ZIP Code: 04011-3229
Phone: (207) 725-4371

Authorized Official

Name: JAMES PIERCE
Title: CEO EXECUTIVE DIRECTOR
Phone: (207) 725-4371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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