| NPI | 1134558455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FRAZIER Owner 269-373-3842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |