| NPI | 1003953548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED M ETHERINGTON President 770-823-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA NTP001000) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |