| NPI | 1497583173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANNICK KINSAKA Manager 910-930-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |