| NPI | 1083874689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SMYTHE Executive Director 404-351-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 2648LEX) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |