| NPI | 1801230586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA F. BRYANT RN Manager 770-584-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |