NPI | 1669295275 |
---|---|
Entity Type | Organization |
Authorized Contact | FILIPE KEMBONZA LEMA CEO 207-405-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-11-02 |
Last Update Date | 2024-11-02 |