| NPI | 1326778069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE IVEY Owner 478-290-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |