| NPI | 1952890212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNIE C HARDY Chief Executive Officer 770-380-8994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-09-01 |