| NPI | 1720746514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKIMA CALDWELL-JEFFERIES Administrator 704-325-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2022-09-23 |