| NPI | 1215064332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. ANGSTADT Executive Director 706-298-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-31 |