| NPI | 1407152671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORBRA T GRAVES Administrator 336-222-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC mhl001114) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |