| NPI | 1316126105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BEAL CEO 770-641-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-11-06 |