| 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 |