| NPI | 1437449154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE MARTIN CEO 404-245-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031-01-308-9) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |