| NPI | 1760666143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEANNE AUSTIN CEO/Social Worker 678-521-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 920671771A) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |