| NPI | 1821962101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVRONIE JUSTIN TERMILIEN Owner/Administrator 321-460-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |