| NPI | 1245011857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSE YOKA Admin 207-200-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |