| NPI | 1013331628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY FELICITAS Owner 808-677-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |