| NPI | 1306147335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY COLLIER CEO 404-841-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031012968) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031012968) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |