| NPI | 1942561717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANNA R BROWN CEO 404-361-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA PCH006734) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: GA PCH006734) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |