| NPI | 1477859841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTILIA MAURICE TRIPP President/CEO 678-570-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: GA 107-01-054-1) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-18 |