| NPI | 1316248156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA M ROCKAMORE Owner 478-781-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 011011169) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-12 |