| NPI | 1992076947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY VICTORIA NEWTON CEO 678-559-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-02-15 |