| NPI | 1750622304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DESHAY WILLIAMS Business Owner 770-882-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |