| NPI | 1467687665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LAVERN WILLIAMS President 678-755-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |