| NPI | 1558186585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN ALECIA DOOLING Owner/Manager 943-226-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |