| NPI | 1215232277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA JONES Owner 706-834-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: 261QA0600X) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA 261QM0850X) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |