Individual
MS. KATHLEEN HOPE RIOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 OLIVE HTS, BANGOR, ME 04401-6815
(207) 945-9391
Mailing address
9 OLIVE HTS, BANGOR, ME 04401-6815
(207) 945-9391
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199340000
—
ME
Enumeration date
12/22/2006
Last updated
07/09/2007
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