| NPI | 1932287877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BENSON Revenue Cycle Director 336-553-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL078069) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-09-12 |