| NPI | 1891093183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2019-12-19 |