| NPI | 1457783789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CHARLES CEO 404-454-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 044-01-357-2) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |