| NPI | 1407178205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DANIEL Manager 919-523-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL-092-758) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |