| NPI | 1144939877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELA ESAKOBIBI CEO 207-318-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |