NPI | 1871894568 |
---|---|
Doing Business As | TRINITY PLACE |
Entity Type | Organization |
Authorized Contact | HAYWARD WHITE CEO 678-887-6644 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031012988) |
Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA 031012988) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |