| NPI | 1538395058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE I. SLATEE Director 207-379-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: ME NOT LICENSED) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |