| NPI | 1720212798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENETRA WALLACE CEO 919-467-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-054-063) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-08-05 |