| NPI | 1144378795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C QUINT Executive Director 207-463-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME ALLS 2245) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |