| NPI | 1023160876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE PINDER Executive Director 336-375-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC mhl-041790) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-10-05 |