| 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 |