| NPI | 1053956102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MCWILLIAMS Recreation Manager 770-289-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |