| NPI | 1154668416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATIKA BOTSWANA BROOKS Director 706-951-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |