| NPI | 1962556332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MORGAN Director Disabilities Division 770-677-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-25 |