| NPI | 1396095147 |
|---|---|
| Doing Business As | KIONONIA GROUP HOME SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | PAMELA L FOREMAN Director 252-266-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 253J00000X Foster Care Agency | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 0000000000) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |