| NPI | 1831364835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEN BUCCELLATO President 706-864-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA CCI001713) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |