| NPI | 1861528853 |
|---|---|
| Doing Business As | GLEZEN FCH 1 |
| Entity Type | Organization |
| Authorized Contact | SEAN BRITTANY WARD Administrator 910-738-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL078001) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |