| NPI | 1841904588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GARNON NISHIMWE Chief Executive Officer (CEO) 207-352-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |