| NPI | 1427486182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMIRA ELAINE ROUHAC RN 706-306-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 121-03-020-1) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |