NPI | 1114106309 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHY D WATTS Owner/CEO 770-389-1925 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW002841) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2007-10-24 |