| NPI | 1760999643 |
|---|---|
| Doing Business As | CLAYTON CENTER HOLLY TREE 104 |
| Doing Business As | CLAYTON CENTER HOLLY TREE 101 |
| Entity Type | Organization |
| Authorized Contact | TIFFANY TOM-JOHNSON COO 770-478-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-06-16 |