| NPI | 1285439125 |
|---|---|
| Doing Business As | UNCLE NUNK NUNK |
| Doing Business As | INNOVATIVE YOUTH SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | ZECHARIAH EZEKIEL THOMAS Owner 706-412-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251E00000X Home Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2026-02-26 |