| NPI | 1972992816 |
|---|---|
| Other Name | ALEXIA D. FAGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: GA 320800000x) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |