| NPI | 1558657494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BALLIF CEO 404-525-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA PCH001261) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH001261) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |