| NPI | 1811464035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIRA OSEROFF Program Director 678-556-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |