| NPI | 1851418412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLTRENE B NEWELL Executive Director 919-496-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL035024) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |