| NPI | 1861796468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MICHELLE REID Administrator 919-961-7368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |