NPI | 1609157338 |
---|---|
Other Name | CAMELOT |
Entity Type | Organization |
Authorized Contact | JENNIFER D LOZANO Director Of Revenue Cycle 404-364-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2011-09-08 |
Last Update Date | 2018-09-24 |