IndividualActive
Melissa Rose, DSP
NPI 1023506284 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gardiner, ME
Provider details
- NPI number
- 1023506284
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- DSP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
46 Neal St
Gardiner, ME 04345
Phone: (207) 557-4686
Approximate (ZIP-level) locationGet directions
Mailing address
46 Neal St
Gardiner, ME 04345-2005
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2018-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.