| NPI | 1184023244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAN GILBERT AIKEN Owner/Founder 404-964-6147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 6167) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-01-26 |