| NPI | 1609580125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINETTE NEZERWE Administrator 207-891-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |