| NPI | 1518297175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEAVENLY E. KIMES President 678-625-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA DN012304) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-07 |