NPI | 1184964512 |
---|---|
Entity Type | Organization |
Authorized Contact | WES HORTON Onwer,CFO 207-342-3655 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME 631916) |
Enumeration Date | 2013-02-21 |
Last Update Date | 2013-02-21 |