| NPI | 1225402050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE MOORE-WOODRUFF Executive Director/Owner 478-508-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |