| NPI | 1699003889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE YOUNG Owner 770-912-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2010-01-07 |