| NPI | 1306049341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE THOMLEY President 770-993-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 1486) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-03-11 |