| NPI | 1811528649 |
|---|---|
| Doing Business As | NORTHWOOD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | LAURA MICHELLE SIMPSON Billing Manager 912-449-7109 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |