NPI | 1043379340 |
---|---|
Other Name | BEAR CREEK |
Entity Type | Organization |
Authorized Contact | JENNIFER D LOZANO Director Of Revenue Cycle 404-968-2663 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL-054-006) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-054-006) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2015-09-18 |