| NPI | 1831311968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALAN CRAY Human Resource Admin 207-554-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 251S00000X | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-02-04 |