| NPI | 1457498867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRYNER Executive President 207-945-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-02-03 |