| NPI | 1174643787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ZERBE Vice President 704-572-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-09-27 |