| NPI | 1992249908 |
|---|---|
| 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 |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-14 |