| NPI | 1275312423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY F WILLIAMS Executive Director 404-933-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |