| NPI | 1013161322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALBERT DAVIS President 770-888-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: GA 012079) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |