| NPI | 1316616923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AL MSHAKEEL Manager 207-409-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |