| NPI | 1023499555 |
|---|---|
| Other Name | HAWTHORNE HOUSE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOZANO Director Of Revenue Cycle 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2018-09-24 |