| NPI | 1427292309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL E CANNON Admimistrator 336-342-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NC FCL 079 074) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |