| NPI | 1073090098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSUMANI RASHINDI Program Manager 207-747-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |