NPI | 1043086812 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN BOBE Chief Executive Officer (CEO) 207-409-8837 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-12-01 |
Last Update Date | 2023-12-08 |