| NPI | 1124754270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW NORVELL Chief Administrative Officer 404-275-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |