| NPI | 1861861361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANTA THOMAS Registered Nurse 770-478-2640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: GA RN228517) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |