NPI | 1992869887 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY LEWIS Administrator 336-386-8074 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL086034) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2008-07-28 |