| NPI | 1003536764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS MARCELLUS MCCALL Chief Executive Officer 984-224-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |