| NPI | 1326613720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ALI MOHAMED Director 919-641-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |