| NPI | 1043447493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE LEE Owner 207-974-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |