| NPI | 1336336585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S. RICHARDSON Program Director 912-658-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |