| NPI | 1851001143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON KABUYE SSEGIMU Program Director 478-978-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-08-08 |