| NPI | 1245673995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA GRIFFIN CEO 678-615-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 12084654) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |