| NPI | 1255723813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URICK LADONIS Owner 770-226-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 241816) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |