| NPI | 1518272202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASHEBA KEY-ALLRED Contract Specialist 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2018-09-24 |