| NPI | 1194680371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN D'AMOUR NKUSI CEO 682-416-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |