| NPI | 1679957450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY LEE SMITH Director 251-219-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |