| NPI | 1093444861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONY MUGISHA CEO 207-344-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |