| NPI | 1245656131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DIARRA JACKSON CEO 678-650-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2014-03-15 |