| NPI | 1447697131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN GOODDINE Owner 404-218-5735 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA pch006808) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |