| NPI | 1356679039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELENE MCNEAL Owner 404-903-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |