| NPI | 1619403805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANDREWS Administator 478-832-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH009157) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2017-05-07 |