| NPI | 1326278425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE CLAVON GILCHRIST Administrator 336-436-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL-001-129) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |