| NPI | 1730318007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY ANN PURINGTON Owner 207-582-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME 3001861) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |