| NPI | 1538974001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON EMMANUEL OLATUNDE Owner 678-886-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |