| NPI | 1053137067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MUTIMA MAZIMPAKA Chief Executive Officer 207-331-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-12-03 |