| NPI | 1770366361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE MUHUMURE Managing Director 336-862-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-20 |