| NPI | 1659975175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRS M MUDAGIRI Co Founder 207-210-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |