NPI 1093214264
Amanda Elizabeth Douglass, DSPCRMA
Practice location
- Address
- 131 Oakland Rd, Fairfield, ME 04937-3229
- Phone
- (207) 453-9152
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1093214264
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Feb 2018
- Record last updated
- 2 Feb 2018
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.