| NPI | 1912266636 |
|---|---|
| Doing Business As | SHOREHAM HOME |
| Entity Type | Organization |
| Authorized Contact | ZULU NWANKWO President 919-607-7731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 032-547) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |