| NPI | 1831994318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVARION BLOUNT Founder/President 706-445-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |