| NPI | 1699156216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TERESA ASHE CEO/Administrator 404-578-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA CLA001274) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |