| NPI | 1639515992 |
|---|---|
| Doing Business As | JEN'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | VERNON B. BUCKMON President/General Manager 770-733-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |