| NPI | 1912352881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERRONE O'NEAL Facility Director 919-441-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |