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 |