| NPI | 1538442207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BEARDEN CEO 706-270-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2012-04-03 |