| NPI | 1770034415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANNE THIBODEAU Clinical Therapist 207-342-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ME MC16161) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |