| NPI | 1407159585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL OSO Owner 678-216-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: GA 031-01-246-1) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |