| NPI | 1265813869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONTERIUS SANDERS President/CEO 678-994-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA APC004516) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |