| NPI | 1659752491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNIYAH ABDUL AZIZ CEO/Owner 404-538-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |