| NPI | 1083987234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEA A NELSON CEO 678-951-5632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 067-01-482-1) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA 067-01-482-1) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |