| NPI | 1538438809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD L. JACKSON CEO 770-471-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031012541) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 031012541) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |