| NPI | 1003768235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA J TUCKER CEO 404-951-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-05-14 |