| NPI | 1245013580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHAMBERS Owner 919-482-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |