| NPI | 1861780322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHEA VIVIAN ROGERS Director/Owner 336-578-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC 001-217) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |