| NPI | 1487792396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA SHAVON STIGGERS Executive Director 770-912-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA cc1001625) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-04-20 |