| NPI | 1265857262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN S SMITH CEO 678-492-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC007273) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |