| NPI | 1508932898 |
|---|---|
| Other Name | W114 KIMGSBURY RD |
| Entity Type | Organization |
| Authorized Contact | KARA HAY CEO 207-973-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-12-10 |