| NPI | 1902163520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH EMBRY Assistant Director 706-779-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA OCCP001025) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |