| NPI | 1255875910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZ JOHNSON Chief Clinical Officer 229-671-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA MFT001515) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |