| NPI | 1639424179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M KINCAID Director 828-413-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2013-07-24 |