| NPI | 1447256243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE A. DALLAS CEO 706-270-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2022-11-04 |