| NPI | 1700116639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN NSENGA President 207-332-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME 582960) |
| Enumeration Date | 2009-12-25 |
| Last Update Date | 2009-12-25 |