| NPI | 1932401403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI JONES Owner 404-551-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 044019241) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |