| NPI | 1346319142 |
|---|---|
| Other Name | DEVEREUX GEORGIA TREATMENT NETWORK |
| Entity Type | Organization |
| Authorized Contact | MARIO BOLIVAR Executive Director 687-303-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA 5910) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-01-16 |