| NPI | 1629779194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS LOGAN CEO 770-585-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |