| NPI | 1184059107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISSA MCKENNIE CEO 678-485-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |