| NPI | 1508166927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS L. JOHNSON Owner 404-244-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 060013808) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: GA 060013808) |
| 311Z00000X Custodial Care Facility (Licence: GA 060013808) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |