| NPI | 1316608946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MUKESHIMANA Managing Director 207-274-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |