| NPI | 1861511073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN ROBINSON WILLIAMS Administrator 336-585-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL-001-102) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-06-13 |