| NPI | 1922234053 |
|---|---|
| Doing Business As | SEVENTY SIX BRADLEY STREET |
| Entity Type | Organization |
| Authorized Contact | HAROLD STROUT Administrator 207-784-6995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: ME ALLS 2761) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2024-10-21 |