| NPI | 1619523925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARBEA TARR NUAHN Owner 404-454-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |