| NPI | 1457306797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWNDA KIM LEWIS CEO 904-779-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |