| NPI | 1740581123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA SMITH Owner 706-975-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 145010139) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |