| NPI | 1619704426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M WADE Executive Director 912-332-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |