| NPI | 1164708897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHEA VIVIAN ROGERS Director 336-578-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-001-220) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |