| NPI | 1831746643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRIC ASHLEY Owner 469-712-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |