| NPI | 1942629027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY L TURNER CFO 678-753-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |