| NPI | 1124880323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL OHANNON Mrs/Owner/CEO 856-212-2384 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |