| NPI | 1326372020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY L. SIMMONS President 336-275-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NC 041-071) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-29 |