| NPI | 1194188532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KNOX Executive Director 404-565-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 01-14-17610) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2016-04-02 |