| NPI | 1629600770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENISHA C BAZEMORE CEO 252-215-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2025-09-11 |