| NPI | 1316745706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL COLEMAN Owner 336-491-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |