| NPI | 1013217140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN HIGDON Pta Prog. Mgr 912-927-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 5527) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |