| NPI | 1780122010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY F PUGH Administrator 229-254-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH008762) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |