| NPI | 1538444666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANEY SHONTERIA HESTER Administrator 770-666-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |