| NPI | 1356080519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE NZEYIMANA Board Member 207-615-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |