| NPI | 1972813541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA MATTHEWS Licensed Therapist 404-914-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA apc002122) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |