| NPI | 1851465967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD SIEFKEN Executive Director 207-338-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: ME 36453) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME ALLS1915) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: ME ALLS1914) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |