| NPI | 1649169830 |
|---|---|
| Doing Business As | RESIDENTIAL IPP GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | DIARA MCCASKILL-PARKS Founder 336-460-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |