NPI | 1265154389 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA DEISLEY CEO 404-721-0079 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-09-15 |
Last Update Date | 2022-09-15 |