NPI | 1811648371 |
---|---|
Doing Business As | OZARK COMMUNITY BRIDGE, LLC |
Entity Type | Organization |
Authorized Contact | NARCISSE MUGISHA CEO 207-618-3784 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-01-15 |
Last Update Date | 2022-01-15 |