NPI | 1437866696 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA QUINONES Member Manager / Owner 706-405-1119 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2022-10-27 |
Last Update Date | 2022-10-27 |