| NPI | 1306147624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RENEE' CLARK CEO 205-381-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA CLA001049) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: GA CLA001049) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |