| NPI | 1295902955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COYEA ET KIZZIE Assissatnt Director, Gme 404-752-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: GA 001002) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: GA 001002) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |