| NPI | 1881876829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZUMA ASI Manager 919-605-6177 |
| 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 |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |