| NPI | 1114166519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L CLEMONS CEO/President 770-460-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004041) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |