# KAILO'S MENTAL RETREAT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kailo's Mental Retreat, Kailo's Mental Retreat
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427945518
- **Authorized official:** HABIB KHAN (MANAGER)
- **Authorized official phone:** (512) 678-3078

## Contact information

- **Practice address:** 125 OAKMONT DR STE A4, GREENVILLE, NC 27858-5242
- **Practice address phone:** (252) 414-3318
- **Practice address fax:** (252) 677-6551
- **Mailing address:** 125 OAKMONT DR STE A4, GREENVILLE, NC 27858-5242
- **Mailing address phone:** (252) 414-3318
- **Mailing address fax:** (252) 677-6551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2025
- **Last updated:** 09/28/2026