NPI | 1235439068 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIA BRODERICK Executive Director 770-885-3966 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2010-10-27 |
Last Update Date | 2010-10-27 |