NPI | 1023538600 |
---|---|
Doing Business As | TAPESTRY ADOLESCENT RESIDENTIAL PROGRAM |
Entity Type | Organization |
Authorized Contact | CHAD RYAN HUSTED VP Of Operations 770-639-9657 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-06-23 |
Last Update Date | 2019-07-10 |