| NPI | 1063473866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE P. KINNELLY Executive Director 207-582-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |