| NPI | 1356480479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A. JORDAN Director 919-396-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-096-187) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-09-24 |