| NPI | 1720535495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY NYALITA Administrator 302-898-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ BH4893) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |