| NPI | 1003001801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBADIAH TENTISHE YUSUFU CEO 770-366-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 251SOOOOOX) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |