| NPI | 1225261423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE E RIDEOUT Owner/Adminstrator 207-582-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |