| NPI | 1225356579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN COLEMAN MAJORS Program Director/Owner 336-516-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-001-192) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |