| NPI | 1124297494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY WATTS CEO 770-389-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 0436594) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |