| NPI | 1588264378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHATFIELD Director Of Nursing 207-415-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |