| NPI | 1730202219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD E SANDERS Asst. Admin. 229-559-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA CPA-40075) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |