| NPI | 1972389500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE DEHBOZORGI Owner 229-343-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |