| NPI | 1922142256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. MATTHEW HENRY President & CEO 828-274-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: NC MHL-011-022) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-07-14 |