| NPI | 1881901874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMIE MARIE RACHELS Administrator 770-298-7937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 084045637A) |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2010-09-11 |