| NPI | 1992858872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUMOKA AYAANA MURRAY Facilty Director 919-363-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-096-172) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |