| NPI | 1750367801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM M. MARSH Vice President/CFO 252-443-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC HAL066005) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |