| NPI | 1124811294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILLS GIDEON Executive Director 207-521-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |