NPI | 1013433135 |
---|---|
Entity Type | Organization |
Authorized Contact | ABEKE BAKER Clinical Director 678-629-7666 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 251B00000X Case Management |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2017-08-21 |