NPI | 1083784011 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LUNDSTROM President 772-489-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |