| NPI | 1114871258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY LAWRENCE Executive Director 678-661-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |