| NPI | 1235408014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE C CULBRETH Chief Executive Director 267-275-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |