| NPI | 1841338894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE CORSON Owner 207-862-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-04-23 |