| NPI | 1780554899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE ECHOLS Owner 704-777-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |