| NPI | 1124499165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLYNE MICHELLE KONCZAL Lpn 828-776-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |