| NPI | 1174642607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BROCK CEO 770-516-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW002590) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-08-15 |