| NPI | 1518324128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SIMPSON Billing Manager 912-449-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |