| NPI | 1457038382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |