| NPI | 1386763894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CARTER Administrator Co Owner 336-275-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC 041622) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |