| NPI | 1619424231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA PATRICE GRAHAM Medical Director 770-427-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA 0038001) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |