| NPI | 1861894198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN CONAWAY Chief Executive Officer 404-272-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |