| NPI | 1548392848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE E DINSMORE Owner Administrator 207-862-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME NA) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |