| NPI | 1548326333 |
|---|---|
| Other Name | ANDI KIVA PC |
| Entity Type | Organization |
| Authorized Contact | ANDI KIVA Director 404-849-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA 000883) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |