NPI | 1710637335 |
---|---|
Entity Type | Organization |
Authorized Contact | VERNON HOLMES CEO 667-400-0602 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2022-03-26 |
Last Update Date | 2024-10-21 |