| NPI | 1023453990 |
|---|---|
| Other Name | TRANQUILITY SPACE |
| Entity Type | Organization |
| Authorized Contact | TABITHA LOPEZ Operator 678-974-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |