| NPI | 1306964242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA S YANCEY Administrator 336-226-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL001132) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-01-29 |