| NPI | 1033933486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REMEZO Owner 207-615-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |