| NPI | 1104542166 |
|---|---|
| Doing Business As | EDEN OASIS |
| Entity Type | Organization |
| Authorized Contact | NICHEL HARGROVE Managing Member 919-593-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |