| NPI | 1245439116 |
|---|---|
| Other Name | BAXLEY CAMPUS |
| Entity Type | Organization |
| Authorized Contact | KENNY THOMPSON Vice President 770-463-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |