NPI | 1245989268 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA JOHNSON-LANDRY CEO 678-860-2254 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-03-18 |
Last Update Date | 2022-03-18 |