| NPI | 1013289255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI ASKEA Billing Manager 706-845-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004589) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |