| NPI | 1396550448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMATAR OSMAN MOUSSA Owner 207-312-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |