| NPI | 1275879595 |
|---|---|
| Doing Business As | WELLSTAR HEALTH VENTURES |
| Entity Type | Organization |
| Authorized Contact | TAMMY M BENNETT Revenue Management 770-792-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: GA PT007517) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |