| NPI | 1801235312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY C. BURRIS Program Director 912-537-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |