| NPI | 1417561747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA WATKINS Owner 678-849-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |