| NPI | 1922353549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAA DZAMA ODDOYE Executive Director 678-525-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |