| NPI | 1245746528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIKEALA TAYLOR Owner 678-515-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2019-06-14 |