| NPI | 1588726830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL ROBERTS Executive Director 770-942-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |