| NPI | 1164545539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA ANNETTE CLARKSON Managing Principal 678-410-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-07-07 |