| NPI | 1053559526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE RENE HEARD Owner 404-456-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL001172) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2010-03-29 |