| NPI | 1801030986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP E PIERCE Foster Home Provider 207-843-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME ALLS 3008) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-09-10 |