| NPI | 1093465577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON HOLMES CEO 437-085-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-03-27 |