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