| NPI | 1134489503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN S. PRIDDY Owner 229-483-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW001337) |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2012-06-11 |