NPI | 1811707466 |
---|---|
Entity Type | Organization |
Authorized Contact | TENBITE SEYOUM Owner 919-685-6274 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-01-07 |