NPI | 1245694702 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN E DOCK Sole Proprietor/Owner 678-614-3211 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC S9895) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |