| NPI | 1124595764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN COLLINS Manager 207-712-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |