| NPI | 1437372737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHAUN ANJALI WILLIAMS Manager 919-949-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL032404) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-02-07 |