| NPI | 1184025397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EXCEL FIELDS Co Founder 470-383-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2016-04-19 |