NPI | 1053118778 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY BRIDGETT Founder/Executive Director 404-808-5789 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320700000X Residential Treatment Facility, Physical Disabilities | |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-06-27 |