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 |