| NPI | 1346548856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE AFRIYIE CEO 770-906-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 058-01-015-1) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 058-01-015-1) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |