| NPI | 1265644314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E. RUSH Executive Director 207-942-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-05-12 |