| NPI | 1396390811 |
|---|---|
| Other Name | LIMITED LIABILITY COMPANY (LLC) |
| Entity Type | Organization |
| Authorized Contact | MICHEL KANYAMBO Chief Executive Officer 207-415-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-05-31 |