| NPI | 1144553777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE JONES Home Base Waiver Provider 207-633-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2013-09-24 |