| NPI | 1265937304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STOVELL WADE Owner 919-308-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |