NPI | 1437792199 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMIL AWEIS SUJA CEO 207-405-7181 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-10-24 |
Last Update Date | 2019-10-24 |