| NPI | 1013258409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE MOORE-WOODRUFF COO 478-508-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1300005661) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |