| NPI | 1134297328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WILUSH Executive Director 770-676-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-10-16 |