| NPI | 1780702902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY S CRISP Administrator 336-227-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL001131) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-01-29 |