| NPI | 1588856835 |
|---|---|
| Other Name | REEVES ASSISTED LIVING DBA SOUTHERN HAVEN |
| Entity Type | Organization |
| Authorized Contact | JODI ANITA BROOKS Owner 404-660-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |