| NPI | 1275956088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL RAINEY Administrator 478-234-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL8065) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |