| NPI | 1033640495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE CAMERON Director Of Behavioral Health 770-558-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA LPC004463) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |