| NPI | 1194588012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO SVP Financial Services 404-364-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |