| NPI | 1396458790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISENGIMANA GAKUNZI Director Of Finance 207-213-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |