NPI | 1528188232 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL ELMORE Administrator 336-723-3829 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL- 034-160) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |