| NPI | 1699944397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY DENISE CRISP Administrator 336-222-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL001156) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |