| NPI | 1447745112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KAROMBA Manager/ Owner 207-518-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-12-17 |