| NPI | 1295017382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLORISSAL LIU Owner 404-285-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA CN0030003852) |
| Additional Taxonomies | 251E00000X Home Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2014-10-31 |