| NPI | 1417848854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAQUANNA STURDIVANT Owner/Founder 980-319-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-09-11 |