| NPI | 1528407368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ANN GIBSON Residential Care Manager 404-344-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1501022172) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |