| NPI | 1386870533 |
|---|---|
| Doing Business As | FORTY SEVEN WOOD STREET |
| Entity Type | Organization |
| Authorized Contact | HAROLD STROUT Administrator 207-784-6995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: ME ALLS 2826) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |