| NPI | 1891364345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DJUMA MBALASSA CEO 207-618-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-06-20 |
| Last Update Date | 2021-06-20 |