| NPI | 1972666337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRENT CASTON Billing Manager 207-255-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: ME 225422) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-02-05 |