| NPI | 1043457724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONELLE RENAE UTER Business Manager 207-510-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |