| NPI | 1760609895 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA SHEA GILLIAM RN 404-294-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: GA rn171251) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |