| NPI | 1194983262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEUS W ROGERS Dr. / President 706-321-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC001518) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |