| NPI | 1205061462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SWEAT Mh / Mr Service Director 706-565-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2018-06-21 |