| NPI | 1679939896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBILOLA ARIDEGBE President 910-922-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-047-160) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2017-02-21 |