| NPI | 1447395587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN G CYR VP Of Finance 207-786-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ME ALLS2555) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |