| NPI | 1164851903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT OKPALA CEO 706-691-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |