| NPI | 1275676959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M KINCAID Director 828-572-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-046-005) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-11-01 |