| NPI | 1275663148 |
|---|---|
| Other Name | HASSAN B. KING MEMORIAL GROUP HOME INC. |
| Entity Type | Organization |
| Authorized Contact | MONIQUE DIONNE HALL CEO 404-399-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA ci0000012125) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |