| NPI | 1790090488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS VP 919-782-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |