| NPI | 1699080382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWRADS Contract Administrator 919-783-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2015-12-21 |