| NPI | 1740313501 |
|---|---|
| Doing Business As | 51ST STREET GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PARKS Chief Financial Officer 912-554-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 025011408) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-03-04 |