| NPI | 1225113483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOHNS BENSON Revenue Cycle Director 704-995-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL053027) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-05-15 |