| NPI | 1356351217 |
|---|---|
| Doing Business As | ADOLESCENT TRANSITIONAL LIVING PROGRAM (BOYS) |
| Entity Type | Organization |
| Authorized Contact | RICK GARCIA Service Director 706-568-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: N/A-Per call to NPI) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-05-15 |