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 |