NPI | 1063151447 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH WILSON CEO 478-288-0709 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-02 |
Last Update Date | 2022-06-02 |