| NPI | 1861869257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY LYNN SZOCIK C.N.A 207-500-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: ME nat67103) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: ME 32) |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: ME 34229503a) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |