| NPI | 1235314535 |
|---|---|
| Other Name | KOGCC |
| Entity Type | Organization |
| Authorized Contact | VICKI JOHNSON ALSTON CEO Owner 706-689-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |