| NPI | 1649096629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHINI LAKRAM Secretary 772-519-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |