| NPI | 1780272252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTIN NTAGANZWA CFO 207-518-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |