| NPI | 1467155044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WILLIAMS Founder/Owner 770-256-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-08-05 |