| NPI | 1679798045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MOORE Owner 919-632-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NC MHL-032-304) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-06-25 |