| NPI | 1245665157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO JOHNSON Owner 470-687-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-02-14 |