NPI | 1952629214 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM L DE VERSTERRE Owner 207-469-0786 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: ME PT2563) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2015-07-08 |