| NPI | 1063586527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE T ASOMAH Owner / Chief Administrator 404-753-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-11-04 |