| NPI | 1568662468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY B. BAJERSKI Regional Hospital Administrator 229-227-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 136-01-076-1) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |