NPI | 1083215842 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA JOELLE VINZANT Executive Director 706-507-7030 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |