| NPI | 1518193812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HAWLEY Revenue Manager 207-523-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2018-10-09 |