| NPI | 1285363416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MUGABO Manager 207-482-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-04 |