| NPI | 1245528314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA K WILLEY Administrator 207-236-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME ALLS 4136) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |