| NPI | 1710853510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKUS SAMUEL TREMBLE Managing Director 912-308-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |