| NPI | 1114280641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA L ADDISON-ARKWRIGHT Quality Assurance Director 678-656-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |