| NPI | 1841782927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER J BOOKER CEO 706-389-6789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |