| NPI | 1457637399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL REYNOLDS Chief Executive Officer 404-786-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA PCH006602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA PCH006602) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: GA PCH006602) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |