NPI | 1750959268 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK BIREGEYA CEO 207-653-5765 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2021-06-12 |
Last Update Date | 2021-10-13 |