| NPI | 1700214574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STAPLES HORNE Director Health Services 404-508-6681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA RN125194) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |