| NPI | 1922266816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D SMITH Office Manager 910-826-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-026-851) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |