| NPI | 1629419098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEE LACKEY Director Of Operations 919-773-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2017-06-21 |