| NPI | 1730730839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MERKER CEO 770-845-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-01-27 |