| NPI | 1558987438 |
|---|---|
| Doing Business As | MOONLIGHT GROUP HOMES LLC |
| Entity Type | Organization |
| Authorized Contact | KHASIN ABDISALAN SABAN CEO 207-241-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |