| NPI | 1356202121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHADRACK SHUMBUSHO Co Founder 531-739-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |