| NPI | 1205976347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMULUS THURMAN WATLINGTON Owner 336-254-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-041-775) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-12-03 |