| NPI | 1417602475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENADETTE MUBANG Administrator 207-263-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2023-01-05 |