| NPI | 1619140548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ENOW Owner 470-422-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: LA 12826) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2023-01-20 |