| NPI | 1437159290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON BURNS Administrator 334-567-3729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AL 480) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-08-22 |