| NPI | 1508151176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABO AKINTOMIDE Director/Administrator 678-860-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: GA 044-01-574-1) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2011-06-12 |