| NPI | 1427819945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA ANN RANKIN Owner 251-367-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |