| NPI | 1285776518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MOYER ADAMS Owner Administrator 336-627-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC FCL-079-018) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |