| NPI | 1417029729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W SLACK VP For Marketing And Business Devel 800-854-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA CC1001402) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-09-26 |