| NPI | 1720111040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PARKS Chief Financial Officer 912-554-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: GA 025011958) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-10-20 |