NPI | 1922277706 |
---|---|
Entity Type | Organization |
Authorized Contact | JACINTA JOHNSON Executive Director 252-438-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL- 039 -029) |
Additional Taxonomies | 251S00000X |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-039-029) | |
Enumeration Date | 2008-02-26 |
Last Update Date | 2021-09-10 |