| NPI | 1093858623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED M PHILIPPE-AUGUSTE Administrator 704-494-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC FCL-060-084) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC FCL-060-084) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-10-26 |