| NPI | 1942624556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA FAJOTINA Owner 808-676-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |