| NPI | 1174669261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A LIPKE Finance Director 704-788-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-013-019) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-08-27 |