| NPI | 1265637136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RACHELLE WINFIELD President 404-305-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC002594) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |