| NPI | 1568684181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN GRAVES Administrator 336-222-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL001114) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-06-10 |