| NPI | 1457645541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONG HEE LEE CEO 678-473-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 193) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |