NPI | 1477199214 |
---|---|
Entity Type | Organization |
Authorized Contact | JOLLY KAMPEMANA CEO 207-518-1556 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2019-11-26 |
Last Update Date | 2019-11-26 |