| NPI | 1801979588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LI Rha 912-356-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |