NPI | 1225576796 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFONZA ALLEN KING CEO 706-566-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC009399) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |