| NPI | 1437977436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE MUHUMURE Managing Director 336-862-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |