| NPI | 1013208651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LEWIS MENTON Director/CEO 770-879-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 044-01-396-1) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2011-05-01 |