| NPI | 1487256251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEQUINTA RIGGSBEE Consultant 678-525-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |