| NPI | 1013249283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON GRAY Co Founder 404-723-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005841) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |