| NPI | 1861386468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORETTA KING Owner 336-254-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |