| NPI | 1720419641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLONDELL P SIMPSON Owner/ Director 336-542-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL 041 1088) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2015-08-28 |