| NPI | 1366262420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE PETREA Owner 912-661-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |