| NPI | 1609045608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA L BORDAIN Director 678-361-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |