| NPI | 1447699608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN TOWNSEND Owner 912-271-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 089-01-037-1) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |