| NPI | 1104193044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMISHEA TILLMAN Owner 404-493-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |