| NPI | 1063958973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC STOKES Founder/CEO 678-438-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 07063025) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |