| NPI | 1811030463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M KINCAID Director 828-572-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-049-064) |
| Additional Taxonomies | 251S00000X |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-07-20 |