| NPI | 1245579218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA LONG Co Owner 404-510-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN I000000012355) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-08-06 |