| NPI | 1033321948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON EGBE TABE Ownner 919-735-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-096-193) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |