| NPI | 1497387708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYNE ININAHAZWE Chief Executive Manager 207-636-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2021-09-14 |