Organization Name: | BEYOND ACHIEVING SKILLS, LLC |
NPI Number: | 1447672001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA ANNE CAOUETTE (SOLE MEMEBER/MANAGER) |
Mailing Address: | 24 Anderson Rd. Raymond |
State: | ME US |
Postal Code: | 04071 |
Phone Number: | 2076152379 |
Fax Number: | 2076556105 |
NPI Enumeration Date: | 01/15/2014 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | OT575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |