| NPI | 1346840345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY GRAHAM Owner 919-478-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 251B00000X Case Management | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-07-31 |