| NPI | 1457148751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ALLISON Owner 870-768-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |