| NPI | 1801186945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRTIES M. MILLER CEO 770-472-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 031011711) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031011711) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |