| NPI | 1174868707 |
|---|---|
| Other Name | HOUSEHOLD OF FAITH |
| Entity Type | Organization |
| Authorized Contact | ANGELA MILLER Excutive Director 678-774-8033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-08 |