| NPI | 1114080488 |
|---|---|
| Other Name | INTENSIVE RESIDENTIAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOAN K TURNER Executive Director 706-845-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |