| NPI | 1063818367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN THOMAS Owner 207-949-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |