| NPI | 1407386204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA COTTON Corporate Administrative Assistant 770-692-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |