| 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 |