| NPI | 1063814127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI JAMES Director 404-707-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |