| NPI | 1043593791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA E CONTON CEO 770-679-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004669) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-03-05 |