| NPI | 1720354012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY GOODDINE CEO 404-841-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA PCH006808) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH006808) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |