| NPI | 1811167000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY ALLEN PAYLOR Administrator 919-496-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC FCL 035 018) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 373H00000X Day Training/Habilitation Specialist | |
| 225800000X Recreation Therapist | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2009-11-19 |