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Amanda Elizabeth Douglass, DSP,CRMA
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairfield, Maine
NPI 1093214264

Amanda Elizabeth Douglass is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fairfield, ME. Amanda Elizabeth Douglass practices in Fairfield, ME and has the professional credentials of DSP,CRMA. The NPI Number for Amanda Elizabeth Douglass is 1093214264 and holds a License No. (Maine).

The current practice location address for Amanda Elizabeth Douglass is 131 Oakland Rd, Fairfield, ME and can be reached out via phone at 207-453-9152.

Location: 131 Oakland Rd, Fairfield, ME, 04937-3229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093214264
Provider Name
Amanda Elizabeth Douglass
Credential
DSP,CRMA
Provider Entity Type
Individual
Gender
Female
Address
131 Oakland Rd, Fairfield, ME, 04937-3229
Phone Number
207-453-9152
Fax Number
Provider Enumeration Date
02/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
131 Oakland Rd
City
Fairfield
State
Maine
Zip
04937-3229
Phone Number
207-453-9152
Fax Number
person
Provider Business Mailing Address Details
Address
131 Oakland Rd
City
Fairfield
State
Maine
Zip
04937-3229
Phone Number
207-453-9152
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
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.
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