| NPI | 1912271461 |
|---|---|
| Other Name | GLYNN PINEHAVEN GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | RACHEL SKINNER Director Of Reimbursement 912-554-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 063-01-035-2) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |