| NPI | 1023399292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE LEA MILTON Owner 336-437-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL041-1022) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |