| NPI | 1124563374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILAND WOODS Executive Director 404-782-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |