| NPI | 1225720592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE BERUBE COO 207-941-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |