| NPI | 1184813685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER FITZGERALD MOORE Executive Director 478-256-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2008-02-29 |