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 |