| NPI | 1003253139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R BAILEY CEO 229-881-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 464635067A) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |