| NPI | 1881255701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH THOMPSON CEO 678-777-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |