NPI | 1861745069 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA DENNY Executive Director 336-719-0062 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-086-020) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2018-06-13 |