| NPI | 1730457458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ANN CROCKETT Owner/President 404-829-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 007874) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 007876) |
| 251S00000X | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2013-03-29 |