| NPI | 1720322563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE ELNORA HOLMES Director 404-557-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2012-11-17 |