OrganizationActive
Dawn Ouellette
NPI 1184867590 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eagle Lake, ME
Provider details
- NPI number
- 1184867590
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dawn Ouellette, Home Provider(207) 444-4562
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
13 South Brook Lane
Eagle Lake, ME 04739
Phone: (207) 444-4562
Fax: (207) 444-4069
Approximate (ZIP-level) locationGet directions
Mailing address
13 South Brook Lane
Eagle Lake, ME 04739
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.