| NPI | 1962735936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DANE RYAN Administrator 207-582-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |