| NPI | 1386768430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ANNETTE LYONS Director 910-864-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC HC2410) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-09-06 |