| 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 |