| NPI | 1992947154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ASAH FON-NDIKUM Co Founder 704-219-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 168913) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 168913) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |