| NPI | 1356839708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D ENOCH Supervisor In Charge 336-539-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL001-207) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |