| NPI | 1669800025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY F JESSUP Rehab 336-351-3401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC 1722) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |