NPI 1023169976
Independence Association, INC
Practice location
- Address
- 87 Baribeau Dr, Brunswick, ME 04011-3229
- Phone
- (207) 725-4371
- Fax
- (207) 725-1416
Authorised official
- Name
- James Pierce
- Title
- Ceo Executive Director
- Phone
- (207) 725-4371
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023169976
- Entity type
- Organization
- NPI issued
- 16 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.