Nichole Lavalley Valid NPI

Individual provider · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, ME

NPI

1821138017

Type

Individual (Type 1)

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)

Specialty group

Residential Treatment Facilities

Taxonomy code

320900000X

License number

ALLS 2297 (ME)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-02-07

Last updated

2019-10-30