| NPI | 1235490095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BECK CEO 770-401-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA PCH0007146) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH0007146) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |