| NPI | 1407591621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKAELA OBI Owner 904-728-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |