| NPI | 1245374545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COX DURHAM Owner 919-730-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL032393) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-08-28 |