| NPI | 1114166394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNOLD RAYMOND CEO 207-444-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |