NPI | 1538911904 |
---|---|
Entity Type | Organization |
Authorized Contact | KYSHA WOODYE Registered Nurse 207-400-5188 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |