| NPI | 1831324284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENNARD NONE HARRIS Owner 404-423-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-098-131) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |