| 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 |