NPI | 1356074058 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE LIVELY Director 443-631-3303 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-07-08 |