| NPI | 1861288615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARCISSE MUGISHA Owner 207-618-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |