NPI | 1124416169 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ELAINE MOORE BRANDON Certified Peer Support Specialist 984-232-8073 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-12-29 |
Last Update Date | 2014-12-29 |