| NPI | 1922818186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED HERSI GALAB Manager 207-344-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |