| NPI | 1083940209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R MCMAHON Owner/Administrator 207-547-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME ALLS 3417) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |