| NPI | 1063545549 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | SALEMATOU DIALLO Administrator 919-599-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL 092588) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |