| NPI | 1164788139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCIO WOODY President/CEO 770-220-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 0326829) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |