| NPI | 1184766610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA LOUISE GRIFFIS Administrator 336-226-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL-001-062) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |