| NPI | 1922310291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONETHIA LOGAN Owner/Director 404-288-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |