| NPI | 1528574431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANEQUA DORSEY Owner 404-697-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |