| NPI | 1548439953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PEAN Owner 678-526-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |