| NPI | 1548546534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA O ANUMUDU Administrator 919-637-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |