| NPI | 1891623419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS MUSE Owner 336-509-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |