| NPI | 1255683322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BARTHOLOMEW Owner 770-820-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 001422) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-24 |