NPI | 1548650690 |
---|---|
Entity Type | Organization |
Authorized Contact | MILES A RAYNOR CEO 678-255-5990 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |