| NPI | 1053781179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO SVP Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TN L000000012147) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2024-10-18 |