| NPI | 1083154553 |
|---|---|
| Other Name | WOMACK HH |
| Entity Type | Organization |
| Authorized Contact | HEATHER DUBOSE Residential Manager 706-432-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |