| NPI | 1992340509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RACHEL THOMPSON Admin 207-924-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |