| NPI | 1407150535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIGISMUND SANYAOLU Chief Financial Officer 404-510-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 11001016-2) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 11001020-2) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |