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