| NPI | 1891963872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MAJORS Administrator 336-228-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC MHL001130) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-14 |