| NPI | 1295806834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA DENISE MCMILLIAN President 770-319-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 212139205B) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-06-28 |