| NPI | 1376844464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MCKAY CEO 678-618-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 031012978) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: GA 031012978) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |