| NPI | 1184410292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BOLDUC Owner 207-754-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |