| NPI | 1619519709 |
|---|---|
| Doing Business As | FREEDOM TRAIL |
| Entity Type | Organization |
| Authorized Contact | LINDSAY COX Credentialing 912-449-7111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |