| NPI | 1124835558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LABARRON PERKINS Executive Director 404-310-2506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |