| NPI | 1346679180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MONTGOMERY Co Owner/Secretary 404-862-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |