| NPI | 1639760499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PARKER Director/Founder 704-919-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |