| NPI | 1043972987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELANI NURSE Owner 404-723-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |