| NPI | 1821312521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRAVES WOODS Owner 336-226-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL 001-174) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |