| NPI | 1255162178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS RUKUNDO Managing Director 336-847-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-09-17 |