| NPI | 1679614309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L. BRPPKS Owner 678-793-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL092533) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |