| NPI | 1346627460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CRUMBLEY Chief Executive Officer 706-681-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-28 |