| NPI | 1598123564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA WHITFIELD Owner 252-560-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |