NPI | 1700407665 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE BIJOGA CEO 207-518-1901 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-05-01 |
Last Update Date | 2020-05-01 |