| NPI | 1790094241 |
|---|---|
| Doing Business As | THE SECRET PLACE |
| Entity Type | Organization |
| Authorized Contact | CHAUNCY DENETTE MONTGOMERY Owner/Director 912-347-2399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |