NPI | 1487885976 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYNE VAN BRAMER CEO 207-294-4651 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2009-07-31 |
Last Update Date | 2023-03-10 |