| NPI | 1336458991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELNA JEANTINE President/Founder 770-378-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YP2500X Counselor, Professional | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |