| NPI | 1265667075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE G DEMPERIO Finance Director 704-861-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |