| NPI | 1215113675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. TIRRELL ANDREWS Program Director 229-333-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA MFT001051) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |