| NPI | 1285890145 |
|---|---|
| Former Legal Business Name | CAROLINA FAMILY CARE HOME INC. |
| Entity Type | Organization |
| Authorized Contact | BOBBY LYNN JOLLY Administrator 828-584-9762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC FCL-012-035) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2011-01-27 |