| NPI | 1568293017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA OKONJI Bcba/ CFO 770-905-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 372600000X Adult Companion | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |