| NPI | 1437762382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYA SHARESE ALLAWAY Owner 404-825-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |