| 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, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2023-03-10 |