| NPI | 1467902437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY TOM-JOHNSON COO 770-473-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-19 |