| NPI | 1801125232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD BROWN Administrator 207-437-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME 35470) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |