NPI | 1003225640 |
---|---|
Entity Type | Organization |
Authorized Contact | TEQUILLA JANISSE PITTMAN CEO 404-447-6007 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW004994) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-08-07 |