| NPI | 1780752071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLORISSAL RENEL ALCANTARA CEO 404-696-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA FR-17061) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |