NPI | 1548605330 |
---|---|
Entity Type | Organization |
Authorized Contact | VALARIE J FLOWERS Owner/CEO 770-912-1055 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA CLA000868) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2013-05-07 |