| NPI | 1952658551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIPPE MARTINEAU Owner 561-844-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ME00074365) |
| Additional Taxonomies | 251S00000X (Licence: FL ME00074365) |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: FL ME00074365) | |
| 293D00000X Physiological Laboratory (Licence: FL ME00074365) | |
| 302R00000X Health Maintenance Organization (Licence: FL ME00074365) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: FL ME00074365) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL ME00074365) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-09-21 |