| NPI | 1295362325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NECIO WATSON Owner 678-708-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-04-01 |