| NPI | 1033953534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTE THOMAS Owner 216-256-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |