| NPI | 1982149910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILAND WOODS Executive Director 404-782-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |