| 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 | 2025-11-05 |