| NPI | 1366396657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZECHARIAH EZEKIEL THOMAS Executive Director 706-412-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |