| NPI | 1922756303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONO MAPAYA MUKWAYANZO CEO 207-253-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |