| NPI | 1184801607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA GREENE Operations Manager 678-458-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |