NPI | 1538808621 |
---|---|
Entity Type | Organization |
Authorized Contact | ALINE MWAMIKAZI Owner 207-274-1596 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2022-05-27 |
Last Update Date | 2022-05-27 |