| NPI | 1669415659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MAZZOTTI President And CEO 207-798-5448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME 403466) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME 468097) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME 389572) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME 374541) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-02-11 |