| NPI | 1700079597 |
|---|---|
| Other Name | RICKY HOMES |
| Entity Type | Organization |
| Authorized Contact | DAINO DANTE DEAS CEO 678-858-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |