| NPI | 1154537181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DION THOMAS CEO 770-320-9278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA CCI001578) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |