| NPI | 1699024141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HEARST Owner 770-262-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |