NPI | 1407919137 |
---|---|
Other Name | FOREST HILLS |
Entity Type | Organization |
Authorized Contact | JENNIFER LOZANO Director Of Revenue Cycle 404-968-2663 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: NC MHL-074-050) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-074-050) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2015-09-19 |