| NPI | 1164874509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA NICOLE ALBRITTON Counselor 478-832-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA APC004505) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |