| NPI | 1154644342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHAUN ANJALI WILLIAMS Owner 919-949-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL032516) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2023-09-22 |