| NPI | 1992148209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL FORBES Owner 919-680-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 032129) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2025-09-13 |