| NPI | 1720283401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GAIL HARPER Administrator 919-965-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-051-112) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |