| NPI | 1033482369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELMA GILCREASE Owner 404-831-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH001362) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA PCH001362) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |