| NPI | 1467155044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WILLIAMS Founder/Owner 770-256-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2025-02-13 |