| NPI | 1285907667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VAN DER MERWE President 770-356-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CSW003846) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |