| NPI | 1003117615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANA GRAY CEO 770-469-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: GA 044018141) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: GA 044018141) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |