NPI | 1407395023 |
---|---|
Other Name | BEARD HH |
Entity Type | Organization |
Authorized Contact | HEATHER DUBOSE Residential Manager 706-432-3798 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |