| NPI | 1770616104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BONATI CEO 912-437-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 025011858) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-03-06 |