| NPI | 1508305285 |
|---|---|
| Other Name | WOMACK HH |
| Entity Type | Organization |
| Authorized Contact | HEATHER DUBOSE Residential Manager 706-432-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |