| NPI | 1568025658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH OVERLOCK Owner 207-877-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-07-01 |