| NPI | 1154428985 |
|---|---|
| Other Name | KIRKWOOD TEEN CENTER |
| Entity Type | Organization |
| Authorized Contact | SANDRA E BOUCHELION District Director/CEO 404-294-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |