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Organization
KAILO'S MENTAL RETREAT
Active
Organization
KAILO'S MENTAL RETREAT
Active
Other names
Kailo's Mental Retreat, Kailo's Mental Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
HABIB KHAN (MANAGER)
(512) 678-3078
Entity
Organization
Contact information
Practice address
125 OAKMONT DR STE A4, GREENVILLE, NC 27858-5242
(252) 414-3318
(252) 677-6551
Mailing address
125 OAKMONT DR STE A4, GREENVILLE, NC 27858-5242
(252) 414-3318
(252) 677-6551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
09/28/2026
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