| NPI | 1972760601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS A HELMS Administrator 919-851-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: NC FCL092006) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |