| NPI | 1720815392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP KAIKAI President 919-667-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |