| NPI | 1811480452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G COREY Owner 207-664-8529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |