| NPI | 1255632014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERLINCIA CUYLER CEO 678-817-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031012731) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 031012731) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-11 |